IPAC RHTE# 53-5 3R. Harnett County Department of Public Health
Improvement Permit 27264
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q4G5
ISSUED TO: \1'y"N Co>vs-,a, XX;1 Q'm SUBDIVISION " T"W-r5 C.h 9. >o LOT # S
NEW'K REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 C'9 t ys "77
Proposed Wastewater System Type: P U tnP e o Uc.'cetp,Sl l i y,, 2Si'o btu,^• 10 W
Projected Daily Flow: 560 GPD
Number of bedrooms: 3 Number of Occupants: (I max
Basement ❑Yes X No
Pump Required; lYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community X Public El Well Distance from well 100 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ~� `� Date: � 1 _3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees at nce of other permits. The permit holder is re onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The i p ement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permio
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: `I N N (:�o ra5-S (IN vi s N PROPERTY LOCATION:
Qv c-6
.� SUBDIVISION `sQ_s-';N
Type: S l New ❑ Expansion ❑
G2s
LOT # 6
Repair
Facility
Basement? ❑ Yes >-E No Basement Fixtures? ❑ Yes �XNo
Type of Wastewater System ** u MIF N o U c- �c2asNe,LI-N �-SU %r 5OJVGi1►
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable I /
wn(, a a (Repair)
Installation Require ments/Conditions Number of trenches 3
-15
Septic Tank Size 16 a d gallons Exact length of each trench
feet
Trench Spacing: Feet on Center
Pump Tank Size t o bG gallons Trenches shall be installed on contour at a
Soil Cover: rc inches
Maximum Trench Depth of: S ';�-
inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: DQP%)M lEtn �a- C.�
S100vLa �E )4%140 akg
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: / understand the system type specified is different from the type specified on the application. / accept the speciTcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is sub0si to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance wi ions of *Qaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t3
Cons ' Authorization Expiration Date: ti
HTE# 13- 5- 3032�K
Permit # a 2aCH
Rlarnett County Department of . "iih ic, Health
Site shetch
PROPERTY LOCATON: fl�5
ISSUED T0: "%H N 2vc,10N SUBDIVISION 'Te6TSe 2, LOT #
Authorized State Agent: T °Z.X50 3(�P Date: Z. ))31 i
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): BYO
Location of Site: Property Recorded: A
Water Supply: ublic❑ Individual E] Well
Evaluation Metbod:E' Auger' o 'ng ❑ Pit ❑ Cut
Type of Wastewater: -0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
.r I t,,.
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
3 `2li
3
J 2 s .j
'
e) 'A
ty �
l
iCa `) j1 `3��
l..S
G
e�
U J ti
b 1
rAr
s
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR